Mississippi Valley
Nursing Home Facility
500 Messenger Road, Keokuk, IA 52632
Lexington Square is a 126 bed SNF/ICF facility offering complex medical care and long-term ventilator care.
Mississippi Valley is licensed for 83 beds, about typical for the area, where senior care communities in Lee County average about 67 beds.
Federal reporting puts occupancy at about 69% of its licensed beds. That is below the Lee County average of roughly 79%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 5 deficiencies.
Residents receive about 5.7 hours of nursing care per day on average, including 1.6 hours from a registered nurse. Communities in Lee County average about 4.3 hours. Nursing staff turnover over the past year was about 37%.
The community is located in Lee County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 12 problems at Mississippi Valley. 3 findings involved harm to a resident. 3 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $19,663.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Mississippi Valley offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 83
- Occupancy 69%
- Nursing hours per resident/day 5.7
- Annual staff turnover 37%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Mississippi Valley yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.